Chest pain in an elite master ultra-marathon runner: a case report with a follow-up on his subsequent athletic activity
Ultra-marathon running has enjoyed increasing popularity, with the number of master ultra-marathon runners growing annually. This study presents a case of a 51-year-old highly experienced long-distance runner (body mass: 65.1 kg, body height: 168 cm), who took part in a 48-h ultra-marathon race held...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Nofer Institute of Occupational Medicine
2020-06-01
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| Series: | International Journal of Occupational Medicine and Environmental Health |
| Subjects: | |
| Online Access: | http://www.journalssystem.com/ijomeh/CHEST-PAIN-IN-AN-ELITE-MASTER-ULTRA-MARATHONER-A-CASE-REPORT-WITH-A-FOLLOW-UP-ON,119231,0,2.html |
| Summary: | Ultra-marathon running has enjoyed increasing popularity, with the number of master ultra-marathon runners growing annually. This study presents
a case of a 51-year-old highly experienced long-distance runner (body mass: 65.1 kg, body height: 168 cm), who took part in a 48-h ultra-marathon
race held in 2010, but dropped out of the competition due to acute cardiac problems manifested after 16 h of running and having completed a distance
of 129 km. Two weeks following the race, intense cardiac examination was performed to explain the drop-out due to chest pain. A 12‑lead electrocardiogram,
a 2D transthoracic echocardiography in 3 apical projections of the left ventricle, a computed tomography of the chest, an invasive coronary
angiography and a maximal oxygen uptake (VO 2max ) test were performed. The 12-lead ECG revealed a negative T wave in III and aVF without morphological
abnormalities. The echocardiographic examinations presented a normal size and function of the heart chambers, and a normal valvar structure
and function (only trivial mitral and tricuspid regurgitation was observed). The invasive coronary arteriography – due to an increased calcium score in
the CT scan – showed only a non-significant systolic dynamic narrowing in the eighth segment of the left anterior descending artery due to a muscle
bridge. The physical performance characteristics of the athlete and a follow-up history of his athletic activity showed that the cardiac problems he had
experienced during the ultra-marathon race did not prevent him from being active in sport. Int J Occup Med Environ Health. 2020;33(4):523–34 |
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| ISSN: | 1232-1087 1896-494X |